NSAIDS and RNY
Can a RNYer can or cannot take Nsaids and why . I have mild lupus and chronic fibromyalgia and live mostly on motrin 800mg maybe twice a day and vicodin when pains are really bad. I will be a self payer for WLS. I would like some info. on what meds can be taken after a RNY for fibromyalgia . Thanks.
Hi!
I had RNY surgery 10 years ago. I have fibromyalgia, degenerative disc disease, degenerative arthritis, ruptured discs (not surgical candidate) plus some other heath problems. I have been taking NSAIDS for many of the 10 post op years. I checked with my gastric bypass doc before I started to take Daypro (which is a NSAID) after my bypass surgery. He knew I was already taking it prior to surgery and that there was a possibilty I would have to continue taking NSAIDS. Along with the NSAIDS, I usuallt take Protonix. So far, I have not had any problems from the NSAIDS in all these years. I guess you can say I have passed the "test of time". I am so thankful that I have been able to take NSAID'S because my life without them is unbearable. Right now, I take celebrex daily or naproxen and was told to alternate the two NSAIDS by a Orthopedic doc. But my primary doc says that celebrex is much easier on the digestive system. So I usually stick with the celebrex. I also take morhine and have a intrathecal morphine pump implanted in my abdomen that is connected to tubing that drips morphine into my spine to ease the dibilitating chronic pain I suffer with. I had the pump implanted in 2006 BUT I still take the NSAIDS and oral morhine just to be able to be functional!
I think that I don't adsorb the oral meds as much as a non-GastricBypass patient does. Maybe that is why I must take a higher dose of 200 mg of celebrex. But it seems as though I always require the higher doses of most of my meds.
Check with your RNY doc along with your Primary doc to make sure they feel you can take the NSAIDS. In my case, I didn't have much quality of life without the NSAIDS being in my medical protocol. I always have watched for symptoms of possible problems arrising with the NSAIDS.
I had RNY surgery 10 years ago. I have fibromyalgia, degenerative disc disease, degenerative arthritis, ruptured discs (not surgical candidate) plus some other heath problems. I have been taking NSAIDS for many of the 10 post op years. I checked with my gastric bypass doc before I started to take Daypro (which is a NSAID) after my bypass surgery. He knew I was already taking it prior to surgery and that there was a possibilty I would have to continue taking NSAIDS. Along with the NSAIDS, I usuallt take Protonix. So far, I have not had any problems from the NSAIDS in all these years. I guess you can say I have passed the "test of time". I am so thankful that I have been able to take NSAID'S because my life without them is unbearable. Right now, I take celebrex daily or naproxen and was told to alternate the two NSAIDS by a Orthopedic doc. But my primary doc says that celebrex is much easier on the digestive system. So I usually stick with the celebrex. I also take morhine and have a intrathecal morphine pump implanted in my abdomen that is connected to tubing that drips morphine into my spine to ease the dibilitating chronic pain I suffer with. I had the pump implanted in 2006 BUT I still take the NSAIDS and oral morhine just to be able to be functional!
I think that I don't adsorb the oral meds as much as a non-GastricBypass patient does. Maybe that is why I must take a higher dose of 200 mg of celebrex. But it seems as though I always require the higher doses of most of my meds.
Check with your RNY doc along with your Primary doc to make sure they feel you can take the NSAIDS. In my case, I didn't have much quality of life without the NSAIDS being in my medical protocol. I always have watched for symptoms of possible problems arrising with the NSAIDS.
Hi,
RNY patients can't take motrin or ibprofin due to the fact that it can cause an ulcer in the pouch, because we don't have the large amount of stomach acids to help digest the meds, it pretty much would sit there eating away at the stomach. I had RNY 3.5 yrs ago and I don't take any motrin. You can take Tylenol, Vicodin, pain patches, Norco, Percocet, and non opiate meds like Nortriptylene, Neurotin, etc. But you should always check with your doctor and follow his instructions. Even though some doctors are different for their post op directions. Plus you should remind your doctor example: If he takes one vitamin, you need two vitamins. So of course the same would go for the meds for Fibro. due to the malabsorbtion of the meds. My old doctor tried to give me one Vicodin every twelve hrs. I laughed at him. Pain doctors or PCP doctors don't really understand how our plumbing works now, so they get the dosage wrong. And you will still have Fibro pain. Tell them to change it as long as you still have pain. If you don't have pain, then you are at a good dose. I am having problems with my shoulders after I lift heavy boxes, so a member told me to stretch. So........I hope this helps. You can also do a combo of pain meds. For instance I take this:
1 Cymbalta 60 mg in the AM, Fentanyl patch 25 mcg and 1 pill 4 x a day of Norco 10/325 mg for break though meds. I wouldn't take a chance on the Motrin, you really don't want an ulcer in your pouch.
RNY patients can't take motrin or ibprofin due to the fact that it can cause an ulcer in the pouch, because we don't have the large amount of stomach acids to help digest the meds, it pretty much would sit there eating away at the stomach. I had RNY 3.5 yrs ago and I don't take any motrin. You can take Tylenol, Vicodin, pain patches, Norco, Percocet, and non opiate meds like Nortriptylene, Neurotin, etc. But you should always check with your doctor and follow his instructions. Even though some doctors are different for their post op directions. Plus you should remind your doctor example: If he takes one vitamin, you need two vitamins. So of course the same would go for the meds for Fibro. due to the malabsorbtion of the meds. My old doctor tried to give me one Vicodin every twelve hrs. I laughed at him. Pain doctors or PCP doctors don't really understand how our plumbing works now, so they get the dosage wrong. And you will still have Fibro pain. Tell them to change it as long as you still have pain. If you don't have pain, then you are at a good dose. I am having problems with my shoulders after I lift heavy boxes, so a member told me to stretch. So........I hope this helps. You can also do a combo of pain meds. For instance I take this:
1 Cymbalta 60 mg in the AM, Fentanyl patch 25 mcg and 1 pill 4 x a day of Norco 10/325 mg for break though meds. I wouldn't take a chance on the Motrin, you really don't want an ulcer in your pouch.
Hi,
I have sent you an email to your profile. I found the information for you so you can see and compare the different surgeries. It is very helpful. If you can provide a fax number to me, I will fax it as soon as I check my mail and get the number. I am not sure if I can post this information, I would love to but it came from the www.lapsf.com website. I don't want to get in trouble for using their information, but it might be ok. I will look into it and if it is okay I will post it somewhere on this website, maybe in my profile. I don't know. Most insurance companies will only approve the RNY, or at least that is how it was 3.5 yrs. They would state that the other are experimental. Hope to hear from you soon to help you out with some of your concerns.
Kristy
I have sent you an email to your profile. I found the information for you so you can see and compare the different surgeries. It is very helpful. If you can provide a fax number to me, I will fax it as soon as I check my mail and get the number. I am not sure if I can post this information, I would love to but it came from the www.lapsf.com website. I don't want to get in trouble for using their information, but it might be ok. I will look into it and if it is okay I will post it somewhere on this website, maybe in my profile. I don't know. Most insurance companies will only approve the RNY, or at least that is how it was 3.5 yrs. They would state that the other are experimental. Hope to hear from you soon to help you out with some of your concerns.
Kristy
Hi,
Since you need to take NSAID's daily, have you looked into the DS surgery. I have Fibro and take Oxyprozen twice a day as well as my Lyrica. I also have severely arthritic knees and joints so need to take the NSAIDs. One of the main reasons I choose the DS surgery is becuase of the ability to continue to take NSAIDs. If you want to check about it further, please feel free to go to go over to the DS surgical page and ask questions. Take care and if I can help, please send me a PM.
Ginger
Since you need to take NSAID's daily, have you looked into the DS surgery. I have Fibro and take Oxyprozen twice a day as well as my Lyrica. I also have severely arthritic knees and joints so need to take the NSAIDs. One of the main reasons I choose the DS surgery is becuase of the ability to continue to take NSAIDs. If you want to check about it further, please feel free to go to go over to the DS surgical page and ask questions. Take care and if I can help, please send me a PM.
Ginger
Don't meddle in the affairs of dragons for you are crunchy and good with ketchup!
Most Active
Recent Topics
